Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Richard C Squillaro, DDS

Individual provider Periodontics · NPI 1194161455

Dr. Richard C Squillaro, DDS is a Periodontics in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2546 S Broad St
Philadelphia, PA 19145-4638
Phone: (215) 463-6677
Fax: (215) 463-1077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DS017459L (PA)

Record details

NPI number1194161455
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 14, 2013
Last updated in NPPESMay 14, 2013

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